we help practitioners implement an effective MEDICARE REIMBURSABLE Transitional Care Management service
Post Discharge Management Through Engagement
REDUCE HOSPITAL READMISSION THROUGH CONSUMER ENGAGEMENT WITH PATIENT HOME MONITORING AND PROVIDER SUPPORT SOLUTIONS
Do you know who your highest-risk patients are? Can you name your most-engaged patient? If you can't answer these questions, can you be sure that your patients are not going to be readmitted?
Engaged consumers have better health outcomes and lower costs. Our Transitional Care Management solution provides comprehensive patient care. Our solution helps you, your patients and their families stay better informed, engaged, and involved with patient home monitoring, caregiver support, and other tools designed to improve outcomes and efficiency.
Our TCM components include:
- AN INTERACTIVE CONTACT. We facilitate contact with the patient and/or caregiver, as appropriate, within 2 business days following the patient’s discharge.
- NON-FACE-TO-FACE CONTACT. We facilitate a non-face-to-face contact to the patient, unless it is determined by a provider that they are not medically indicated or needed.
- TELEHEALTH FACE-TO-FACE VISIT. We facilitate the telehealth face-to-face visit within certain timeframes as described by Current Procedural Terminology (CPT) codes.